Postoperative nursing care of patients with endometrial cancer
子宫内膜癌病人的术后护理

摘要

目的 就子宫内膜癌病人的术后护理展开研究分析。方法 遴选2021年1月与至2022年5月于我院进行手术治疗的34例子宫内膜癌患者为对象实施研究，利用随机数表法进行分组，纳入参照组的17例患者在手术完成后辅以常规护理，另17例观察组患者在术后则接受整体护理，分析相应护理模式实施前后两组患者心理状态以及疼痛情况。结果 患者心理状态以及术后疼痛相比，护理前参照组SDS（抑郁自评量表）、SAS（焦虑自评量表）以及NRS（数字分级评分法）评分分别为（54.22±4.62）分、（55.85±4.49）分、（6.22±0.89）分，观察组SDS、SAS以及NRS评分分别为（54.19±4.65）分、（55.63±4.35）分、（6.17±0.93）分，指标对比差异不明显，无统计学价值（P＞0.05）；经过相应护理干预后，参照组SDS、SAS以及NRS评分分别为（50.28±3.47）分、（50.02±3.54）分、（5.06±0.71）分，观察组SDS、SAS以及NRS评分分别为（46.26±3.43）分、（45.55±3.26）分、（3.92±0.57）分，观察组评分更具优势，两组指标对比差异明显，有统计学价值（P<0.05）。结论 临床在做好子宫内膜癌患者术后常规护理基础上，还需从环境、饮食、患者心理以及精神等层面进行整体护理干预，以更好平稳患者心态，改善其疼痛感，在良好身心状态下促使手术疗效最佳化。

Abstract

Objective: To study and analyze the postoperative nursing of endometrial cancer patients.
Methods: 34 patients with endometrial cancer who underwent surgery in our hospital from January 2021 to may 2022 were selected for the study. They were grouped by random number table method. 17 patients in the reference group were supplemented with routine nursing after surgery, and the other 17 patients in the observation group received overall nursing after surgery. The psychological status and pain of the two groups before and after the implementation of the corresponding nursing mode were analyzed.
Results: compared with the patients' psycho- logical state and postoperative pain, the SDS (self rating Depression Scale), SAS (self rating Anxiety Scale) and NRS (Digital grading scoring method) scores of the reference group before nursing were (54.22±4.62), (55.85±4.49) and (6.22±0.89) respectively, and the SDS, SAS and NRS scores of the observation group were (54.19±4.65), (55.63±4.35) and (6.17±0.93) respectively, with no significant difference in index comparison, No statistical value (P>0.05); After the corresponding nursing intervention, the SDS, SAS and NRS scores of the reference group were (50.28±3.47), (50.02±3.54) and (5.06±0.71) respectively, and the SDS, SAS and NRS scores of the observation group were (46.26±3.43), (45.55±3.26) and (3.92±0.57) respectively. The scores of the observation group were more advantageous. There were significant differences in the indicators between the two groups, with statistical value (p<0.05).
Conclusion  : on the basis of routine postoperative nursing care for patients with endometrial cancer, holistic nursing intervention should be carried out from the aspects of environment, diet, patients' psychology and spirit, so as to better stabilize patients' mentality, improve their pain, and optimize the curative effect of surgery in a good physical and mental state.